| NPI | 1588329569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 006882) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CT 006882) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CT 006882) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-12-09 |